[Resolved]  Royal Sundaram — Cheating while claim for Hospitalization bill

Address:

Thane, Maharashtra

I take this opportunity to put to your kind attention that i am a policy holder for the last 3 years.

My Sister Ms Jayshree Shetty was hospitalised for Loose motion at Shivam Hospital, Nallasopara, Dist Thane.

I got the rudest shock of my life when I got your letter dated 10th August 2010, delivered on 12th September stating that my Claim is supported by fraudulent means for information and reference, and you declined the claim.

I would also like to state that after receiving your letter, I spoke to the medical investigation Officer Mr. Prakash Patil( a 60 year old diabetic patient himself), he confirmed that as per his investigations, the case was genuine, and that he went to medical store to verify the bills, personally spoke with the hospital Doctor and verified the documents; infact he was shocked when I told him about my case.

Along with inability to entertain the claim, you have also cancelled the insurance policy number HC[protected], the premuim for which was paid in August for approx Rs 7000.

I feel cheated by your Organisation and am hurt that you have broken my faith and lovalty with refusal to entertain my claim on grounds of Fraud charges levied on this claim although its a genuine case. But I promise to fight a hard and long battle with you and will go to highest level and involve media to get this sorted and trust me I will.

In the meantime I need your response on the below:

1) Please prove that my case for claim was fraud

2) I want a reimbursement for the premuim I paid for the Financial year Aug 10-July 2011 from my Citi bank Credit card, now that you have cancelled my policy.

I Hope to get a promt response for my compliant.

Regards
Shashikant Shetty
[protected]